Active NPI
Cardio - Thoracic & Vascular Surgery Inc
- Specialist
- Springfield, MA
National Provider Identifier
1689875288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 36381
- Legal business name
- CARDIO - THORACIC & VASCULAR SURGERY INC
- Practice address
- 2 Medical Center Dr Suite 104
Springfield, MA 01107 - Phone
- (413) 737-4715
- Fax
- (413) 737-4875
- NPI assigned
- May 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark M Sherman, MD
- Title
- Doctor
- Phone
- (413) 737-4715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 36381 | MA | Primary |
Addresses
Primary practice location
2 Medical Center Dr Suite 104
Springfield, MA 01107
Mailing address
2 Medical Center Dr Suite 104
Springfield, MA 01107
Phone (413) 737-4715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017857 | Medicaid | MA | |
| 9731571 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
2 Medical Center Dr
Ste 104
Springfield, MA 01107
Phone (413) 737-4715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235692800000",
"number": "1689875288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEDICAL CENTER DR SUITE 104",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01107",
"telephone_number": "413-737-4715",
"fax_number": "413-737-4875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL CENTER DR SUITE 104",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01107",
"telephone_number": "413-737-4715",
"fax_number": "413-737-4875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIO - THORACIC & VASCULAR SURGERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2009-02-27",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "413-737-4715",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "36381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017857",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9731571",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.